Individual
DIANE MARIE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIANE BURNETT, M.D.
Contact information
Practice address
1127 N MAIN ST, COTTONWOOD, AZ 86326-3541
(520) 780-2298
Mailing address
1127 N MAIN ST, COTTONWOOD, AZ 86326-3541
(520) 780-2298
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
26310
AZ
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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